Skin Laxity and the Right Device for Treatment

Skin Laxity and the Right Device for Treatment

by | May 11, 2024 | Uncategorized

Skin laxity is a common sign of ageing and can affect various areas of the body such as the face, neck, arms, legs or abdomen. It occurs when the skin loses its elasticity, resulting in a saggy, loose appearance.

Loss of skin elasticity may present as:

Fine lines and wrinkles: When skin loses its elasticity in the dermal matrix (second layer of skin), it is prone to fine lines and wrinkles. These lines can appear deeper and more prominent over time.

Jowls: As we age the bones tend to shrink, leading to the muscular layer (SMAS) and dermal layer to then droop and create the jowls.

Drooping Eyelids: As with the jowls, this drooping tissue affects the orbital area. Ptosis (the drooping of the skin of the upper eyelid) can be the result.

Crepey Skin: When the support in the dermal matrix is lost or declines, and the surrounding glycosaminoglycans (GAG’S), that provide the cushioning and the environment of collagen and elastin, this depletion leads to the skin having the appearance of thin, tissue-like skin.

Skin laxity is caused by a combination of intrinsic (internal) and extrinsic (external) factors that affect the skin’s structure and function. Some of the scientific causes are:

Age and hormonal changes where the collagen and elastin fibres, which provide support and elasticity to the skin, degrade over time, leading to thinning and sagging. Additionally, the skin’s ability to produce new collagen and elastin decreases with age.

Exposure to prolonged UV radiation from the sun damages the collagen and elastin fibres. This damage can result in the formation of wrinkles and sagging.

Certain lifestyle factors such as poor diet, lack of sleep, excessive alcohol, and smoking all add to oxidative stress resulting in the skin breaking down and not having the ability to regenerate.

Genetics can play a huge part in the loss of laxity in the skin, and this can happen earlier in some compared to others.

Other areas to affect loss of elasticity in the skin can be glycation, dehydration, significant weight loss and extreme temperature environments.

When choosing the most appropriate treatment for your area of concern there are several factors to review such as

  1. Different areas will respond better to one treatment rather than another, HIFU, RF, RF Microneedling and Plasma Fibroblast can provide more significant skin tightening for moderate to severe skin laxity, while microneedling will address fine lines and moderate skin laxity.
  2. Different modalities are better suited for specific areas of the body. HIFU and RF can be used on the face and body, while RF Needling and microneedling are primarily used on the face and neck. Plasma can be used on the face and body but is not suitable for all body areas.
  3. Depending on your timeline for your result HIFU and Plasma can provide more immediate results, while RF and RF Needling usually require multiple treatments.
  4. Your pain tolerance this also must be a strong consideration for the appropriate treatment.
  5. Budget is also a consideration. HIFU and Plasma Fibroblast are typically more expensive than RF, RF Needling and Microneedling.

What is the primary skin concern?

  1. moderate to severe laxity
  2. fine lines and wrinkles
  3. Mild to moderate skin laxity

Which area do you want to target?

  1. face and body
  2. face and neck
  3. face only

How soon do you want the results?

  1. Immediate
  2. within a few weeks to months
  3. over time with multiple treatments

How much downtime will you tolerate?

  1. no downtime
  2. some downtime
  3. little to no downtime?

What is your budget?

  1. high
  2. moderate
  3. low

It is so important to combine both in Clinic treatments, a good home care regime and a healthy lifestyle in order to achieve your optimum results.

How To Treat Photoaging Of The Skin

How To Treat Photoaging Of The Skin

by | May 6, 2024 | Skin Peel

The Peel You are Having When You are Not Having a Peel

It is that time of the year again when our skin is letting us know the summer has been a little unkind. The telltale signs of hyperpigmentation are quite apparent on our skin. One of the most effective ways to deal with this discolouration, skin dryness and skin renewal is with the in-clinic treatment using a peel. Peels are available in various strengths and cocktail formulations, and the one that is suitable for you will be dependent upon the skin condition being treated.  A peel is a skin rejuvenation technique involving the application of either enzymes, chemicals, herbs, or a cocktail of all of the above.  The idea behind a peel is to remove the damaged outer layers of dry, discoloured and coarse skin from the skin’s surface. When the peel is performed, the regenerative process of the skin is stimulated. The result revealed a marked improvement in skin conditions such as fine lines and wrinkles, texture and tone of the skin, lightening and brightening the skin, increased blood circulation, softening scar tissue, strengthening the integrity of the skin, stimulating fibroblast cells resulting in new cell formation, hydration, reduction of pore size, clearing of blemishes, more balanced oil production and an overall healthier appearance of the skin. There are 4 main types of peel intensity when carried out in the clinical treatment room.

  • 1. Progressive- this peel does not usually cause visible exfoliation. There may be superficial dryness for a few days post-procedure and then the skin will look refreshed and radiant and can be carried out as a standalone treatment or it can be used in conjunction with treatments such as microdermabrasion. This mild peel can be carried out every 1-2 weeks for 3-6 treatments.
  • 2. Mid-depth – exfoliation with this peel usually occurs within 3- 5 days post-procedure. This level of peel will usually turn brown before a gentle flake occurs. This rejuvenation technique may be performed monthly.
  • 3. Deep – the skin undergoes considerable peeling, almost like a snake shedding its skin. Two of the better-known deep peels are Cosmelan and the Deep Herbal Peel. The entire process can take 7-10 days and is usually repeated 3 times a year depending on what skin condition is being treated.
  • 4. Biochemical Peel –The peel you are having when you are not having a peel. This is the new kid on the block from Spain. With this avant-garde technique, there is no downtime, no pain, no heat and no peeling.

The Biochemical peel incorporates active ingredients in its formulas with an effectiveness that has been proven by dermatological science. Using a cocktail of acid ingredients such as salicylic, lactic, malic, pyruvic, azelaic, mandelic, phytic, ferulic, hyaluronic, pure glycolic, citric, kojic and tranexamic, the outcome is nothing short of miraculous. These ingredients are not new in the peeling arena, the difference being the percentage, pH and layering technique.  Factors required to be reviewed prior to having a peel include

  • 1. Home care and the skin preparation undertaken at least 2 weeks prior to treatment
  • 2. Skin reactivity, thickness and oiliness
  • 3. The time of the year and the intensity of the sun
  • 4. Your general health including autoimmune disorders
  • 5. The Fitzpatrick skin type – a guideline devised to determine how the skin might respond to a peel
  • 6. The Glogau classification is also known as the wrinkle scale of photoaging. This will assist in determining the severity of sun damage in the form of discolouration and wrinkles.

Peels stimulate the formation of new healthier cells providing a revival to the complexion. No Matter your skin concern, the fact there are numerous peels and techniques you can be assured there is one that is just right for the result you want to achieve. Peel, and lift the veil your skin has been hiding under.

What is photoaging?

Photoaging refers to the premature aging of the skin caused by repeated exposure to ultraviolet (UV) radiation, primarily from the sun but also from artificial sources like tanning beds. Unlike natural aging, which is a biological process that occurs over time, photoaging is characterised by specific changes to the skin induced by external factors. Key signs of photoaging include:

  • Wrinkles and fine lines: UV rays can break down the collagen and elastin fibers in the skin, which are crucial for maintaining the skin’s firmness and elasticity. This breakdown leads to the development of wrinkles and sagging.
  • Changes in pigmentation: Sun exposure can cause an increase in melanin production, leading to age spots, freckles, and uneven skin tone.
  • Rough texture: Over time, sun exposure can cause the outer layer of the skin to become thicker and rougher, which might feel dry or leathery.
  • Loss of elasticity: With the breakdown of elastin fibers, the skin loses its ability to snap back after stretching, leading to a looser appearance.

Preventive measures against photoaging include using broad-spectrum sunscreen, wearing protective clothing, and avoiding peak sun hours. Treatments to manage the effects of photoaging range from topical retinoids and antioxidants to more invasive procedures like laser therapy and chemical peels.

Enzyme Exfoliation for Winter Skin

Enzyme Exfoliation for Winter Skin

by | Apr 2, 2024 | Uncategorized

Enzyme Exfoliation for the Winter Skin

All skin types can benefit from enzyme exfoliation during the cooler months of winter, where hot showers and heaters create superficial dryness. Enzymes are a naturally occurring solution for this challenge by digesting and dissolving dead, dry skin cells, revealing healthy, radiant skin. Enzymes are primarily proteins that are necessary for life. In the body and cells their role ranges from digestion to increasing metabolism. They speed up the rate of most chemical reactions that take place in the cells, catalyzing most cellular functions. When applied topically, enzymes are proteolytic, meaning they digest the cells of the stratum corneum – the first layer of the skin. Enzymes break down the old cells that congest the pores and will then prevent the penetration of topical serums, which in turn hinders overall skin functioning. Removing the dead skin cells, allows the skin to regenerate more quickly, assisting with skin concerns such as premature aging and acne. Other benefits when using enzymes include their ability to increase skin elasticity and hydration by maintaining natural moisture levels in the skin. Enzymes speed up cellular functioning and fight against oxidation and free radical damage, protecting skin from environmental damage. In the treatment room enzymes and acids can be used separately or mixed, each providing a powerful result. Enzymes in general are less exfoliating than acids like glycolic, salicylic, mandelic or lactic. Therefore, they are more appropriate for sensitive, medically compromised, reactive or thin skin. Introducing enzymes in skin treatments when you are pregnant or breastfeeding is particularly useful to still allow an effective method of exfoliation.

Enzymes:

Mostly sourced from vegetables and fruit such as pumpkin, (the most exfoliating enzyme) pineapple (bromelain enzyme), papaya (papain enzyme), and apples A gentle exfoliation method but this can be dependent on the pH Exfoliates the stratum corneum Less likely to irritate the skin Function at a wider pH range Digest dead skin cells Come in the form of either a gommage, gel, cream, liquid or powder

Acids:

  • Mostly sourced from milk, sugar and plant-based products
  • Deeper exfoliation method with progressive, mid-depth and deep peeling levels
  • Can be an aggressive method of exfoliation
  • Are both pH and % dependent on the level of exfoliation
  • Dissolve dead skin cells

Enzymes can be more efficiently utilised in the treatment room when:

The cleanser being used is chosen wisely. A creamy cleanser will limit the exfoliation intensity compared to a foamy or gel-based cleanser. A pre-peel solution will strip the skin of lipids and therefore facilitate a more aggressive exfoliation The use of heat and moisture with a steamer or hot towel will amplify the enzyme activity. Enzymes can be added to many treatments in the clinic room to increase their efficacy. They can be blended with antioxidants, pure vitamins and hyaluronic acid which will increase the support, hydration and vital nutrients of the skin. Some of the treatment modalities which will benefit from the addition of enzymes are: *Microdermabrasion results using suction and super fine crystals to exfoliate the skin can be amplified when using enzyme exfoliation before the treatment *JetPeel treatments utilise a medical-grade saline solution instead of microcrystals from the microdermabrasion. The supersonic jet of saline droplets from the JetPeel is amplified when an enzyme solution is used before this step. This has the added benefit of improving the circulation and hydration of the skin *Ultrasonic skin exfoliating utilises sound waves and vibrations that penetrate through the upper layers of the skin. The Ultrasonic treatment improves the texture, tone and circulation of the skin. The benefits of the Ultrasonic device are amplified when an enzyme exfoliation is used before the treatment. Enzymes are not new in the aesthetic arena but are worth consideration when wanting healthy, hydrated and radiant skin. Renew & Revive Skin with a Peel
Brown Skin Spots On The Face

Brown Skin Spots On The Face

by | Apr 2, 2024 | Uncategorized

Brown Skin Spots On The Face And The Sun

We all desire a clear and consistent skin tone. However, lingering hyperpigmentation is a constant barrier to achieving this. It impacts every skin type at every stage of our lives, especially when sun exposure, heat and prolonged UV damage are factors. The pleasing news is that with the proper homecare regime and in-clinic treatments, the brown spots can be reduced or removed completely. This will be a consistent programme including prevention and treatment.

Hyperpigmentation refers to areas of the skin with an abnormal appearance of pigment, resulting in darker areas of the skin compared to the rest of the complexion. There are 3 main types of hyperpigmentation: epidermal (surface is light brown and not quite as dense), dermal (skin is ashen-gray and a deep brown and appears more solid), and then a mixture (both of the above levels and is usually dark brown).

There are many triggers creating pigmentation (dyschromias) changes, as well as varying depths of damage to the skin. These types of changes in the skin may occur when melanocytes (colour-producing cells) are either over-stimulated resulting in hyperpigmentation, or they may be destroyed, resulting in hypopigmentation. The colour changes may also be an uneven pigmentation from procedures, picking or scratching. Melasma is denoted by more dense larger patches and is normally created with hormonal imbalance with estrogen and progesterone. Other causes may include birth control pills, HRT, PIH (post-inflammatory hyperpigmentation), long-term sun exposure, razor bumps, heat, humidity, severe sunburn, eczema, chemical irritations, rashes, abrasive scrubs, medications, chicken pox, insect bites, surgical procedures, thyroid and adrenal disorders.

One thing to keep in mind with most types of hyperpigmentation is our melanocytes are there for a reason, which is to protect the cell initially. We need this in order to help fight against the impact of the UV rays. After this protection process has taken place, the skin is now left with underlying damage which is seen in the form of pigmentation.

The 2 main factors stimulating hyperpigmentation are UV exposure and heat. Wearing an SPF of 30+ each day will assist with this protection. The best sunscreens for hyperpigmentation are typically all-mineral formulas. Chemical SPFs neutralize the UVA and UVB rays, while the mineral SPFs, create a barrier on top of the skin, blocking these factors and protecting it from infrared damage. A huge reminder, even when you wear your hat, sun protection and sunglasses and your face is covered, tanning on other parts of your body can still stimulate the melanocytes.

Hydroquinone is a well-known ingredient to treat hyperpigmentation. It is banned in many countries as it has been linked to possibly being carcinogenic. Our skin is very smart and may develop a resistance, or immunity to it, resulting in a very dark hyperpigmentation, which usually takes longer to reduce.

Other proven ingredients for use in both homecare and clinical treatments include the enzyme papain (from the papaya), and bakuchiol (a retinol alternative supporting the skin’s cellular renewal. When applied topically it encourages sloughing of overly pigmented cells, leaving skin looking renewed and more even), mandelic acid (a water-soluble exfoliating alpha hydroxy acid made from bitter almonds and is generally tolerated well by most skin types with its larger molecular size and therefore slowing the absorption resulting in less irritation to the skin), tranexamic acid (will even out hyperpigmentation when melanin density is connected to sun damage. It is also safe to use through pregnancy), pyruvic acid ( derived from the hibiscus and is both oil and water soluble and has the capacity to brighten the faster by encouraging the rapid cell regeneration), and niacinamide (a vitamin B3 product impedes the production of melanin as it is happening).

Some of the in-clinic treatments available include IPL, Fractional laser, Tixel, Q Switch Yag and herbal and chemical peels.

Protect the skin you are in, it is yours for a lifetime. Regardless of hyperpigmentation’s cause and its associated uneven tone and dark spots, it is essential in Australia to treat and prevent it on a regular basis. It is not a seasonal call to action, but instead a year-round commitment.

Age Spots, Sun Spots, and Liver Spots

Sun spots, known as solar lentigines, liver spots, or age spots, are common dark brown facial marks caused by sun exposure. These are mostly benign but can develop into melanoma, necessitating vigilant monitoring.

Treatment and Prevention of Age Spots Preventing further sun spots is essential, achievable through rigorous sun protection. Treatments vary from over-the-counter creams to professional procedures like chemical peels and cryotherapy, which target melanin-producing cells efficiently.

Seborrheic Keratosis Typically manifesting as dark, rough, raised bumps, seborrheic keratosis becomes more prevalent with age. While treatment is often unnecessary, options like cryotherapy can enhance appearance.

Moles Moles may vary widely and are often checked for signs of skin cancer. Regular dermatological checks are critical.

Postinflammatory Hyperpigmentation This condition stems from skin inflammation and can lead to increased pigment production. Options like laser therapy and chemical peels are beneficial for managing this hyperpigmentation.

Melanoma Early detection of melanoma involves recognising irregularities in moles or spots, guided by the ABCDE rule: Asymmetry, Border irregularity, Colour variation, Diameter over 6mm, and Evolving characteristics. Regular skin checks and consultations are recommended for effective management.

What Every Aesthetician Wants Their Clients to Stop Doing

What Every Aesthetician Wants Their Clients to Stop Doing

by | Mar 11, 2024 | Uncategorized

Aesthetic practitioners are dedicated to enhancing your appearance and overall well-being through various treatments, home care products and recommendations. However, a few misconceptions and recurrent habits can impact the progress and efficacy of this close relationship. An honest collaboration between aesthetician and client will provide the best possible outcome for optimal skin health.

A survey in the medical aesthetic profession found a few of the most common areas where you, the client, can assist with a more positive outcome.

During the consultation, the aesthetician and the client must be completely transparent about what may be achieved and the desired outcome. We all see the social media before and after photos, and we all want a miracle in a jar, so to speak; this includes me. The results are ultimately determined by age, health, lifestyle and compliance with home care products and applications. Nothing lasts forever, even a facelift. Remember, our body is a continually aging machine, and “regular servicing” needs to be maintained.

After any treatment, please refrain from touching the skin immediately after. By doing so, the introduction of bacteria can disrupt the healing process. For injectable procedures, this can mean not touching the treated site (unless advised to, and only on clean skin with clean or gloved hands).

Do not expect immediate results, as improvement will vary depending on age, health and healing capacity. This applies to all injectables, laser procedures, skin needling and peels. The older we are, the slower the healing and rejuvenation time for the skin. Be patient and comply with your homecare instructions.

Do not overload on exfoliating procedures at home. Combining chemical exfoliants and mechanical exfoliants too often and aggressively can damage the protective skin barrier, leading to dehydration and eroding the youthful, plump appearance we all desire.

Just because your friend had the procedure and an excellent outcome does not mean the procedure is correct for you. While some treatments may be universal for most skin types, no two skins are identical. This is where the consultation process is required. While one person may require a fractional laser, another may be able to have an IPL for the treatment of colour irregularities and then may need a fractional laser or a course of skin needling to achieve their desired result.

When you arrive for a treatment where heat may be applied – possibly in the form of laser, radio frequency, RF skin needling or even a skin peel – and you have come straight from the gym, a run, hot yoga or even hot coffee – the skin will not be able to cope with the parameters the treatment requires for your desired outcome. If you are unsure of your pre and post-instructions, always call ahead and have them cemented in your thoughts so you and the clinic are aligned with achieving optimal results for your skin.

Always disclose any allergies and medical history, as there are often contraindications to ingredients and treatments. This also includes disclosing any injectable treatments, even if obtained at another clinic, as deep laser and RF treatments and deep massage can create a possible migration or dissolving of the ingredients. This also means if you have had prior treatments at another clinic in a close time frame. With this transparency, the outcome is always a more-than-desirable result.

Rapidly changing skin care products can irritate the skin and disrupt the healing process. Discuss with your aesthetician if you feel a product could improve your outcome.

Daily, we are preaching to use sunscreen, even on the cloudiest of days. Overexposure to the sun is the number 1 reason for skin ageing in this country.

When there is open and transparent communication between the aesthetician and the client, the desired result is so much easier to achieve.